Emergency Medicine

101 Reflective Lessons from a Year with Sydney HEMS. Part Three: Clinical

This post, detailing my reflections on clinical retrieval medicine, is the third in a series recording my reflections on the past twelve months, which I have spent working for Sydney HEMS in prehospital and retrieval medicine. The first post covers medical…
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Are you PROcalcitonin? St.Emlyn’s goes bug-hunting.

At work the other day, someone mentioned that we could use procalcitonin to distinguish between viral and bacterial infections, particularly in the paediatric population. It was touted as the answer to that age-old question, “should I prescribe antibiotics for this…
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Sugar and Spice…Not All Things Nice

Synthetic Cannabinoid

The use of synthetic cannabinoids is on the rise.  They are dangerous, don’t fit a particular toxidrome, and can require emergent intervention.  They are a nasty phenomenon and this article will hopefully show you why. The Background Novel psychoactive substances…
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JC: The Quick-Wee Method for Faster Clean Catch Urine Collection

The wilful nature of children is responsible for a lot of the facial expressions we see in the paediatric emergency department but few parents are as frustrated as those waiting… and waiting… and waiting for the short-lived, poorly-timed, inevitable fountain…
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When is a Door Not a Door? Bias, Heuristics & Metacognition

This is an amended version of a talk on metacognition I gave at the Royal North Shore Hospital Grand Round. The clinical scenario has changed but the content remains the same. The purpose of this talk was to help our…
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